AHIP Exam AHM-250 Topic 6 Question 100 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 100
Topic #: 6

[All AHM-250 Questions]

In Order to act as a TPA an organization must

AEstablish written procedures for adverse determinations and appeals

BObtain a certificate of authority from the state insurance department

CDesignating the organization as a TPA

DAll of the above

Show Suggested Answer

Suggested Answer: B

by Donte at Sep 14, 2024, 11:13 AM

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Olive

2 months ago

I'm going with A. Seems like the easiest option, and who needs all that pesky state approval and official designation, right? As long as you have the procedures in place, you're good to go!

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D, for sure. Wouldn't want to end up like the guy who thought he could just write some procedures and call himself a TPA. That's like trying to pass as a doctor with a band-aid and a stethoscope from the dollar store.

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Herman

1 months ago

D) All of the above

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Mayra

2 months ago

C) Designating the organization as a TPA

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Marylou

2 months ago

B) Obtain a certificate of authority from the state insurance department

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Dyan

2 months ago

A) Establish written procedures for adverse determinations and appeals

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Chauncey

2 months ago

Hmm, I'm going with B. Gotta get that state approval, you know? Can't just declare yourself a TPA and call it a day.

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Amber

2 months ago

True, it's important to follow all the necessary steps to become a TPA.

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Dottie

2 months ago

I think it's actually all of the above. Written procedures and designation are important too.

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Josefa

2 months ago

Yeah, you're right. State approval is definitely necessary to act as a TPA.

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Joana

3 months ago

I'm not sure, but I think it makes sense that all those requirements are needed to act as a TPA.

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Jovita

3 months ago

I agree with Avery, because having written procedures and state authority is important for being a TPA.

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Avery

3 months ago

I think the answer is D) All of the above.

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Charlena

3 months ago

Option D is clearly the correct answer. Can't believe anyone would even consider the other options. It's like asking what you need to do to become a doctor - you need all the requirements, not just one or two.

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Harrison

2 months ago

Yes, option D is the most comprehensive choice.

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Carlton

2 months ago

I agree, option D covers all the necessary requirements.

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AHIP Exam AHM-250 Topic 6 Question 100 Discussion

Contribute your Thoughts:

Olive

Melissa

Herman

Mayra

Marylou

Dyan

Chauncey

Amber

Dottie

Josefa

Joana

Jovita

Avery

Charlena

Harrison

Carlton